Individual
SUZANNE MICHELLE AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
205 E PALMER RD, BELLEFONTAINE, OH 43311-2281
(937) 404-9221
(937) 404-9917
Mailing address
2160 EWING CRAWFIS CIR, BELLEFONTAINE, OH 43311-9042
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
34.015408
OH
208200000X
Plastic Surgery Physician
DO-04568
IA
Other
Enumeration date
05/12/2009
Last updated
06/27/2023
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